The independent roles of mindfulness and distress tolerance in treatment outcomes in dialectical behavior therapy skills training.

2020 ◽  
Vol 11 (3) ◽  
pp. 181-190 ◽  
Author(s):  
Richard J. Zeifman ◽  
Tali Boritz ◽  
Ryan Barnhart ◽  
Cathy Labrish ◽  
Shelley F. McMain
Author(s):  
Alexander L. Chapman ◽  
Nora H. Hope

Developed to treat highly suicidal patients and often associated with the treatment of borderline personality disorder (BPD), dialectical behavior therapy (DBT) has evolved into a transdiagnostic treatment addressing emotion dysregulation. DBT is an emotion-focused, comprehensive cognitive-behavioral treatment including individual therapy, group skills training, between-session skills coaching (phone coaching), and a therapist consultation team. Several elements of DBT address emotion dysregulation directly or indirectly, including emotion regulation skills, distress tolerance strategies to dampen physiological arousal and curb impulses to engage in problematic behaviors, and individual therapy interventions to reduce emotion dysregulation. Growing evidence suggests that DBT may address behavioral, cognitive, physiological, and neurobiological aspects of emotion dysregulation. Future directions should include increasing multimethod research on the effects of DBT on emotion dysregulation, streamlining treatment, making DBT more efficient and targeted, and conceptualizing DBT’s place within the spectrum of other emotion-focused transdiagnostic treatments.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Eva Sesma Pardo ◽  
Aránzazu Fernández Rivas ◽  
Pablo Orgaz Barnier ◽  
Marina Beá Mirabent ◽  
Iñaki Kerexeta Lizeaga ◽  
...  

2019 ◽  
Vol 3 (1) ◽  
pp. 116
Author(s):  
Diana Christina ◽  
Irwanto Irwanto

Kekerasan dalam rumah tangga mengacu pada segala bentuk perilaku semena-mena yang tidak hanya berupa kekerasan fisik, tetapi juga kekerasan verbal dan seksual. Kekerasan dalam rumah tangga adalah sebuah fenomena yang telah menarik perhatian dunia karena perilaku kasar yang diterima perempuan dari pasangannya dalam jangka panjang, yang mengarah pada konsekuensi buruk kesehatan mental seperti PTSD dalam bentuk pikiran yang mengganggu, mimpi buruk, kilas balik, hypervigilances, dan emosi-emosi negatif berlebih (kesedihan, kemarahan, kekecewaan, keputusasaan) yang dapat menyebabkan pikiran untuk bunuh diri. Dua wanita yang mengalami kekerasan dalam rumah tangga dan saat ini tinggal di tempat penampungan berpartisipasi dalam penelitian ini. Mereka diberikan teknik konseling berbasis Dialectical Behavior Therapy (DBT) untuk membantu mereka menerima pengalaman mereka tanpa dihakimi dan untuk meningkatkan kapasitas mereka untuk mengendalikan pikiran dan emosi mereka. Konseling berbasis DBT diberikan dalam tiga sesi; toleransi terhadap tekanan, mindfulness, dan regulasi emosi. Kami melibatkan dua peserta perempuan yang diberi tempat tinggal sementara. Screening menggunakan Beck Depression Index (BDI-II) yang menunjukkan setidaknya tingkat depresi menengah atas, dan checklist tentang jenis kekerasan, dampak fisik dan psikologis yang disebabkan oleh perilaku pasangannya yang kasar. Setelah tiga sesi konseling berbasis DBT, peserta mulai mendapatkan kendali atas hidup mereka, menunjukkan peningkatan dalam kepercayaan diri dan menjunjung tinggi keyakinan bahwa mereka dapat maju. Domestic violence refers to any kind of abusive behavior that is not only physical, but also verbal and sexual violence. Domestic violence is a phenomenon that has garnered the worldwide attention due to the long term abusive behaviors that women have received from their partners, which leads to serious mental health consequences such as PTSD in the forms of intrusive thought, nightmares, flashback, hypervigilances, and overwhelming  negative emotions (sadness, anger, disappointment, hopelessness) that may lead to suicidal thoughts. Two women who experienced domestic abuse and currently living in a shelter particiated in this study. They were provided with a counseling technique based on (DBT) to help them accept their experiences without any judgement and to enhance their capacity to controlling their thoughts and emotion. Counseling based on DBT was given in three sessions; distress tolerance, mindfulness, and emotion regulation. We involved two female participants who were provided with a temporary shelter. Screening using a Beck Depression Index (BDI-II) showed at least moderate depression level and above, and a checklist form about the type of violence, physical and psychological impact caused by their abusive partner’s behavior. After three sessions of counseling based on DBT, participants started to gain control of their lives, show improvements in self-confidence and uphold a belief that they can move forward.


2019 ◽  
Vol 33 (1) ◽  
pp. 119-134 ◽  
Author(s):  
Arne Buerger ◽  
Gloria Fischer-Waldschmidt ◽  
Florian Hammerle ◽  
Kristin von Auer ◽  
Peter Parzer ◽  
...  

Despite the expansion of treatment options for adults with borderline personality disorder (BPD), research on treatment options for adolescent BPD is scarce. The aim of this study was to investigate the impact of dialectical behavior therapy for adolescents (DBT-A) on the individual trait level as primary outcome; and the frequency of suicide attempts and nonsuicidal self-injury, self-reported BPD core pathology, and general psychopathology as secondary outcomes. Seventy-two adolescents (aged 12–17 years) with full- or subsyndromal BPD were treated with DBT-A (25 single sessions, 20 sessions of skills training), and 13 patients (18.1%) withdrew during treatment. From baseline to post-treatment, the number of BPD traits decreased significantly (p ≤ .001). All secondary outcomes decreased significantly as well (p ≤ .001). Results of this uncontrolled study suggest that beside self-harm, DBT-A may also have a beneficial impact on other features of BPD.


2020 ◽  
pp. 014544552093539
Author(s):  
Christopher P. Plant ◽  
Bradley Donohue ◽  
Andrew J. Freeman ◽  
Daniel N. Allen

Psychological interventions for child maltreatment have predominately been limited to family-supported, multi-component behavioral therapies. Although these comprehensive programs have resulted in positive outcomes, they are relatively costly and there is limited information available as to how the components of these programs influence treatment outcomes. In this study, the CBT components of an evidence-based treatment for child neglect and drug abuse (Family Behavior Therapy) were examined in regards to consumer preferences, consumer engagement and treatment outcomes. Thirty-five mothers identified for child neglect and drug abuse were administered various CBT components successively and cumulatively based on their preferences. Repeated measure ANOVAs indicated that participants chose to receive components that were specific to managing antecedents to drug abuse and child neglect most frequently, followed by parenting skills training, communication skills training, and job/financial skills training. No differences were found in treatment providers’ ratings of the participants’ engagement across intervention components throughout treatment. Participants rated the intervention components as similarly helpful. Partial correlations revealed that participants’ ratings of helpfulness and provider ratings of participants’ engagement were not associated with improved drug use outcomes at 6- and 10-months post baseline. Participants’ ratings of helpfulness were associated with child maltreatment outcomes at 10-month post baseline, and provider ratings of participants’ engagement were associated with child maltreatment outcomes at both 6- and 10-month post baseline. Participants identified for neglect not related to drug exposure in utero improved at a higher percentage than did participants identified for in utero drug exposure, and receiving behavioral intervention components more frequently led to greater percentages of participants improving in both drug use and child maltreatment outcomes.


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